Collier Drug-Prairie Grove
LBN: Collier Drug Stores Inc
Collier Drug-Prairie Grove is an health care organization with primary practice located at 801 E Douglas St , Prairie Grove AR 72753-2737. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Collier Drug Stores Inc can be contacted via phone (479) 846-2195, or through Collier, Mel via phone (479) 442-6262.
Contact Information
Primary practice address
801 E Douglas St
Prairie Grove AR 72753-2737
Phone: (479) 846-2195
Fax: (479) 846-2147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20282 | Arkansas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1003816174 |
|---|---|
| LBN Legal business name | Collier Drug Stores Inc |
| DBA Doing business as | Collier Drug-Prairie Grove |
| Authorized official | Collier, Mel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 20th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003816174 | NPPES |
| Arkansas | MEDICAID | 145056407 | |
| Arkansas | Other | 1994219 |
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